Okuni M
Osaka Prefectural University.
Nihon Ronen Igakkai Zasshi. 1990 May;27(3):314-8.
Judging from the features of senile dementia, it is desirable for the demented elderly to receive care at their places to which they are accustomed and to be surrounded by affectionate families, if possible. Year by year, however, sufficient intrafamilial care is becoming more and more difficult because of increasing numbers of nuclear families, women's into society, the deteriorating housing situation and the like. Accordingly, the importance of community care is increasing; an integrated care system with close cooperation of medical facility services and at-home services needs to be established. Three important measures; i.e. home helper dispatching, short stay activity and day service activity as well as close cooperative work for health activities, medical care and welfare are still far from satisfactory, though these problems have begun to be tackled actively. Various types of advanced models and regional network systems exist fulfilling several necessary conditions for effective functioning. The need of a three-layer structure was emphasized based on a practical study of Matsubara City, Osaka.
从老年痴呆症的特征来看，对于患有痴呆症的老年人来说，如果可能的话，最好是在他们熟悉的地方接受照料，并被充满爱意的家人环绕。然而，由于核心家庭数量增加、女性步入社会、住房状况恶化等原因，逐年提供足够的家庭内部照料变得越来越困难。因此，社区照料的重要性日益增加；需要建立一个医疗设施服务和居家服务紧密合作的综合照料体系。尽管这些问题已经开始得到积极解决，但家庭帮佣派遣、短期停留活动和日间服务活动这三项重要措施，以及健康活动、医疗护理和福利方面的紧密合作，仍远不能令人满意。存在各种类型的先进模式和区域网络系统，满足有效运作的几个必要条件。基于对大阪松原市的实际研究，强调了三层结构的必要性。
